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Get Final Salary Clearance Form Blm 2014

Ions - Item 1) 2. What mineral(s) are you applying for? PROSPECTING APPLICATION AND PERMIT 3a. Applicant s name 5. Legal description of land included in permit APPLICANT DOES NOT FILL IN THIS SPACE 3b. Applicant s address 4. Give legal description of land requested (See General Instructions, Item 4) Total acres Rental submitted $ 6. Are the lands administered by a government agency? 8a. Are you a citizen of the United States? No (If Yes, give name of agency) Yes No (See Spe.

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